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An Interprofessional Addiction Simulation for Primary Care in Rural









                                                                                                                                                                                                                                                              Health: Development and Implementation




















                                                                                                                                    Takara Schomberg, MSN, RN, CNE, CHSE, Cori Heier, MSN, RN, CNRN, and Leann Horsley, PhD, RN, CHSE, CNE












                                                                                                                                                                                                                                                                                                                                                                                  College of Nursing





















                                      INTRODUCTION                                                                                                                                                                                                                       CREATION AND DESIGN                                                                                                                                                                                                                                                                   LESSONS LEARNED
















                       • Registered Nurses (RNs) are under-                                                                                                                                   Identified Gaps:                                                                                                                                                             Theoretical framework:                                                                                                                                                       • Use of technology enhanced the fidelity



                               represented and rarely utilized to their full                                                                                                                  • Opioid crisis                                                                                                                                                              • Simulation                                                                                                                                                                         of the simulation based experience



                               scope of practice, especially in rural                                                                                                                         • IMPACT RNS grant                                                                                                                                                                     • Cognitive Load Theory                                                                                                                                            • Preparing the IP team experts



                               primary care settings.                                                                                                                                                     • Primary care                                                                                                                                                             • NLN Jeffries Simulation Theory                                                                                                                                             • SBAR report for video prompt



                       • Opioid use is an epidemic in the United                                                                                                                                          • Rural aspects                                                                                                                                                  • Learning                                                                                                                                                                             • Collaborate to create student



                               States, leading to increased risk for                                                                                                                          • Curriculum review                                                                                                                                                                    • Kolb’s Experiential Learning Theory                                                                                                                                                resource packet materials



                               addiction.                                                                                                                                                     • IP opportunity                                                                                                                                                                                                                                                                                                                                                    • Orientation to level of learner



                       • Screening and prompt treatment from the




                               interprofessional (IP) team can improve



                               patient outcomes.                                                                                                                                                                                                                                                                                                                                   Standards of Best Practice:



                       • Preparing students by creating                                                                                                                                                                                                                                                                                                                            • INACSL                                                                                                                                                          ACKNOWLEDGEMENTS



                               experiential learning experiences is                                                                                                                                                                                                                                                                                                                          • Simulation Design



                               essential to the profession to overcome                                                                                                                                                                                                                                                                                                                       • Simulation Enhanced IPE                                                                                                                                  The authors would like to acknowledge the following



                               this gap in practice.                                                                                                                                                                                                                                                                                                                               • SAMHSA National Guidelines for                                                                                                                                     healthcare providers who contributed to the creation of



                       • Simulation designers may not feel                                                                                                                                                                                                                                                                                                                                 Behavioral Health Crisis Care                                                                                                                                this simulation:

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        • Janell Christensen, MS, RN, CNS, APRN-BC, LAC,
                               equipped to develop an IP addiction                                                                                                                                                                                                                                                                                                                             • Addressing Recovery Needs                                                                                                                                   CT, QMHP, Sioux Falls VA Hospital- Counselor



                               simulation focused on primary care.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      • Joanne Kouba, PhD, RD, LDN, Loyola University



                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             Chicago Parkinson School of Health Sciences and


                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             Public Health- Registered Dietician



                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        • Mary Kay Nissen, DNP, APRN, FNP-BC,


                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             Shenandoah Medical Center, Shenandoah, IA


                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        • Lesli Olson, MSN, RN South Dakota Department of


                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             Health, Office of Disease Prevention Services- Case
                                               OBJECTIVES                                                                                                                                                                                                                                    IMPLEMENTATION                                                                                                                                                                                                                                             • John Szarek, BPharm, PhD, CHSE, Geisinger

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             Manager






                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             Commonwealth School of Medicine- Simulation and



                                                                                                                                                                                                                                     Challenges                                                                                                                                                             Solutions                                                                                                                                        Professor & Director of Clinical Pharmacology
                       Upon completion of the poster




                       presentation, participant(s) will be able                                                                                                                       Simulation Creation:                                                                                                        1.Network outside our university to gain access to experts familiar with role and                                                                                                                                                    In addition, the authors would like to acknowledge the
                                                                                                                                                                                       1.Access to other professions
                                                                                                                                                                                                                                                                                                                         simulation.

                       to:                                                                                                                                                             2.Simulation Resources                                                                                                      2.Creative solutions for needed resources.                                                                                                                                                                                           IMPACT-RNs project team members: Dr. H. Mennenga
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        (PI), Dr. A. Abuatiq, Dr. R. Brown, Dr. L. Burdette, D.

                       1. Describe how they will apply INACSL                                                                                                                                  a.Technology required for video vignettes                                                                                   a.Use telehealth teaching platform (CareSpan) to enhance fidelity. Used                                                                                                                                                      Currier, Dr. L. Horsley, Dr. C. Plemmons, Dr. Valborg



                                                                                                                                                                                                                                                                                                                                 Camtasia and Zoom for recording video vignettes.
                               Standards of Best Practice:                                                                                                                                     b.Organization of and materials for                                                                                         b.Created patient and IP student packets. Various community resources                                                                                                                                                        Kvigne, C. Hultman, M. Schmit, and B. Walstrom.

                                                                                                                                                                                                     student resource packets

                               Simulation Enhanced IPE at their                                                                                                                                                                                                                                                                  included to support student success in IP and unfamiliar roles.
                                                                  ©


                               simulation institution.




                       2. Describe at least one potential                                                                                                                              Students:                                                                                                                   1.Utilized video vignettes and student resource packets to provide expert                                                                                                                                                      FUNDING STATEMENT



                                                                                                                                                                                                                                                                                                                         guidance in IP and unfamiliar roles.
                               solution to a challenge at their                                                                                                                        1.Nursing students filling IPE roles                                                                                        2.RN Primary Care and Case Manager roles are new to nursing students. These

                                                                                                                                                                                       2.Familiarity with unique nursing roles
                               simulation institution.                                                                                                                                                                                                                                                                   students are provided a packet with resources and prompts to eliminate                                                                                                                                                    This project, entitled Impacting Models of Practice and Clinical Training for




                       3. Identify at least one simulation design                                                                                                                                                                                                                                                        knowledge barriers.                                                                                                                                                                                                       Registered Nurses and Students (IMPACT-RNS), is/was supported by the
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   Health Resources and Services Administration (HRSA) of the U.S.


                               element (i.e. telehealth, resource                                                                                                                      Facilitators:                                                                                                               1.Offered multiple training sessions with simulation faculty and staff at semi-                                                                                                                                                 Department of Health and Human Services (HHS) under grant number

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   UK1HP31729 and title Nurse, Education, Practice, Quality and Retention -

                               packets, video vignettes, primary care                                                                                                                  1.Multi-site simulation center                                                                                                    annual meetings. Supported faculty at various sites during their first time                                                                                                                                               Registered Nurses in Primary Care for $2,751,222 and 0% financed with



                               setting, interprofessional team) that                                                                                                                   2.Consistency among sites                                                                                                         running this simulation. Orientation to materials including video vignettes,                                                                                                                                              nongovernmental sources. This information or content and conclusions are
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   those of the author and should not be construed as the official position or


                               they could trial at their simulation                                                                                                                                                                                                                                                      online location of video vignettes, student resource packets, and simulation                                                                                                                                              policy of, nor should any endorsements be inferred by, HRSA, HSS, or the

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   U.S.Government..
                                                                                                                                                                                                                                                                                                                         logistics.
                               institution.                                                                                                                                                                                                                                                                        2.Addiction Simulation bag that contained everything needed to facilitate the





                                                                                                                                                                                                                                                                                                                         simulation.                                                                                                                                                                                                                                         References available upon request
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